Active NPI
Guizhen Zhang, DDS
- Periodontics
- White Bear Lake, MN
National Provider Identifier
1770744146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- S28
- Practice address
- 4801 Highway 61 N Ste 300
White Bear Lake, MN 55110-2753 - Phone
- (651) 429-2299
- NPI assigned
- Jun 18, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | S28 | MN | Primary |
Addresses
Primary practice location
4801 Highway 61 N Ste 300
White Bear Lake, MN 55110-2753
Mailing address
4801 Highway 61 N Ste 300
White Bear Lake, MN 55110-2753
Phone (651) 497-7311
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S28 | MN | MD | Periodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minnesota Periodontal Associates, PA | Periodontics | Past | Accepting new patients |
| Roger G. Ettel D.D.S. & Associates, PA | Periodontics | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Periodontics
- White Bear Lake, MN
- NPI 1508300252
-
- Periodontics
- White Bear Lake, MN
- NPI 1194887521
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248048000000",
"number": "1770744146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4801 HIGHWAY 61 N STE 300",
"city": "WHITE BEAR LAKE",
"state": "MN",
"postal_code": "551102753",
"telephone_number": "651-497-7311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4801 HIGHWAY 61 N STE 300",
"city": "WHITE BEAR LAKE",
"state": "MN",
"postal_code": "551102753",
"telephone_number": "651-429-2299"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZHANG",
"first_name": "GUIZHEN",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-18",
"last_updated": "2009-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "MN",
"license": "S28",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in White Bear Lake, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.